Re: The research on dairy and IBS doesn't narrow things down -
02/09/07 01:53 PM
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Syl
Reged: 03/13/05
Posts: 5499
Loc: SK, CANADA
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There is indeed support for the idea that milk can be very problematic for IBSers. I don't think whey and casein have yet been pin-pointed as triggers.
There is a nicely written paper in the January 2007 issue of Inflammatory Bowel Diseases (reference and abstract below) that outlines a food and beverage avoidance diet that is similar to your EFI. It was designed for use with outpatients at the Inflammatory Bowel Diseases Center in the Albany Medical College
About diary the author says
Quote:
Milk products including milk, ice cream, chocolate, cheese, yogurt, salad dressings, and mayonnaise are well known to cause diarrhea and abdominal cramping (Table 1). The effects of milk products are often felt to be caused by lactase deficiency. Indeed, some patients are truly lactose deficient. However, when tested, many of our IBD patients who have intolerances to milk products are not lactase deficient. Milk contains many other substances in addition to lactose, including fats, proteins, sugars, and Igs, which may stimulate the GI tract. Patients often fail to recognize that cheese, chocolate, and ice cream are concentrated forms of milk. Although skim milk and lactose free products will help some patients tolerate milk, for many patients, switching to soy milk and soy products or rice milk and rice products provides the only complete relief. Another problem for patients is that milk products are used as additives in many different snacks and foods.
Reference
MacDermott, R. P., 2007: Treatment of irritable bowel syndrome in outpatients with inflammatory bowel disease using a food and beverage intolerance, food and beverage avoidance diet. Inflammatory Bowel Diseases, 13, 91-96.
Abstract
Irritable bowel syndrome (IBS) in the outpatient with chronic inflammatory bowel disease (IBD) is a difficult but important challenge to recognize and treat. It is very helpful to have effective treatment approaches for IBS that are practical and use minimal medications. Because of the underlying chronic inflammation in IBD, IBS symptoms occur with increased frequency and severity, secondary to increased hypersensitivity to foods and beverages that stimulate the gastrointestinal tract. This paper discusses how to treat IBS in the IBD outpatient, with emphasis on using a food and beverage intolerance, avoidance diet. The adverse effects of many foods and beverages are amount dependent and can be delayed, additive, and cumulative. The specific types of foods and beverages that can induce IBS symptoms include milk and milk containing products; caffeine containing products; alcoholic beverages; fruits; fruit juices; spices; seasonings; diet beverages; diet foods; diet candies; diet gum; fast foods; condiments; fried foods; fatty foods; multigrain breads; sourdough breads; bagels; salads; salad dressings; vegetables; beans; red meats; gravies; spaghetti sauce; stews; nuts; popcorn; high fiber; and cookies, crackers, pretzels, cakes, and pies. The types of foods and beverages that are better tolerated include water; rice; plain pasta or noodles; baked or broiled potatoes; white breads; plain fish, chicken, turkey, or ham; eggs; dry cereals; soy or rice based products; peas; applesauce; cantaloupe; watermelon; fruit cocktail; margarine; jams; jellies; and peanut butter. Handouts that were developed based upon what worsens or helps IBS symptoms in patients are included to help patients learn which foods and beverages to avoid and which are better tolerated.
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STABLE: ♂, IBS-D 50+ years - Science of IBS
The FODMAP Approach to Managing IBS Symptoms
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